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Lifecare Ambulance Of Mississippi LLC

Ambulance in Olive Branch, MS. Organization (NPI-2).

NPI number1164025045
StatusActive
Last updated in NPPESNov 21, 2020

Details

NPI
1164025045
Entity type
Organization (NPI-2)
Legal business name
Lifecare Ambulance Of Mississippi LLC
Organization subpart
No
Enumeration date
Nov 21, 2020
Certification date
Nov 21, 2020
Last updated
Nov 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
341600000X Ambulance––Yes

Practice location

10060 Highway 178
Unit 600
Olive Branch, MS 38654-3271

Phone 901-372-0200 · Fax 901-372-0170

Mailing address

3737 Chase Ave
Skokie, IL 60076-4008

Phone 847-933-9348

Authorized official

John J Herlihy
Ceo
8479339348

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